Articles: intubation.
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Case Reports
Subcutaneous emphysema and pneumomediastinum complicating endotracheal intubation--a case report.
A case is reported of a 5-month-old child who developed subcutaneous emphysema and pneumomediastinum following the application of external pressure on the trachea during intubation using a non-kinkable tube with a stylet in situ. Possible aetiological factors and management of such a condition are discussed.
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J. Oral Maxillofac. Surg. · Sep 1987
Case ReportsBilateral fixation of a nasotracheal tube by transfacial Kirschner wires.
Because of the high margin for error with transfacial internal wire fixation, even in the hands of an experienced practitioner, alternative modalities in the treatment of zygomaticomaxillary complex fractures should be considered. When the use of transfacial rigid wire fixation is indicated, emphasis should be placed on prevention and early recognition of nasotracheal transfixation to avoid unnecessary postoperative catastrophies.
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Iatrogenic rupture of the stomach has been reported as a rare complication of nasopharyngeal oxygen therapy. A new case of this life-threatening condition is reported and diagnostic, therapeutic and preventive measures are briefly discussed.
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Acta Anaesthesiol Scand · Aug 1987
Thoracolumbar epidural anaesthesia blocks the circulatory response to laryngoscopy and intubation.
Laryngoscopy and endotracheal intubation cause a stress reaction resulting in an increase in heart rate and systemic blood pressure. This haemodynamic response is considered to be due to a sympathetic discharge caused by stimulation of the upper respiratory tract. This stress reaction during laryngoscopy and endotracheal intubation was studied in patients with total thoracolumbar epidural anaesthesia (EDA). ⋯ The epidural anaesthesia caused a reduction of the mean arterial blood pressure (MAP) by 25%, and a reduction of the heart rate (HR) by 7%, but neither the induction with thiopentone nor the laryngoscopy and intubation caused any changes in mean arterial blood pressure or heart rate. However, in the control group MAP increased 29% and HR 16% following intubation. Thus, the T1-L2 epidural anaesthesia with 2% mepivacaine with adrenaline blocked the blood pressure reaction to laryngoscopy and intubation, and consequently the efferent sympathetic nervous system was completely blocked.